DR. ODELSA DIAZ ANDRES (NPI# 1770579245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770579245 |
| Entity Type | Individual |
| Full Name | DR. ODELSA DIAZ ANDRES |
| Credential | M.D |
| Practice Address |
6279 N Lecanto Hwy Beverly Hills FL 34465-2503 |
| Mailing Address |
14690 Spring Hill Dr Spring Hill FL 34609-8102 |
| Practice Telephone | 3525220094 |
| Practice Fax Number | 3525220098 |
| Mailing Telephone | (352) 799-0046 |
| Mailing Fax Number | 3526062857 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN757 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | V4VMN | 01 |
| FL | 016457600 | 05 |
| Street Address |
6279 N LECANTO HWY |
| City | BEVERLY HILLS |
| State | FL |
| Zip Code | 34465-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043453020 | Access Health Care LLC | Family Medicine | 6279 N Lecanto Hwy, Beverly Hills, FL 34465-2503 | 2009-04-07 |
| 1164477618 | Dalton M Benson | Internal Medicine | 6279 N Lecanto Hwy, Beverly Hills, FL 34465-2503 | 2006-05-23 |
| 1326017757 | Charles P Kronenthal Jr. | Physician Assistant | 6279 N Lecanto Hwy, Beverly Hills, FL 34465-2503 | 2006-03-17 |
| 1174592638 | Jaime Luis Torres II | Internal Medicine | 6279 N Lecanto Hwy, Beverly Hills, FL 34465-2503 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953949 | Medical Risk Solutions LLC | Family Medicine | 4065 North Lecanto Highway, Suite 600, Beverly Hills, FL 34465 | 2020-05-15 |
| 1215321930 | Latonya Singletary | Counselor | 26 Roosevelt Blvd, Bevely Hills, FL 34465 | 2015-03-19 |
| 1447686480 | Rajesh B Patel | Pharmacist | 3791 N. Lecanto Hwy, Beverly Hills, FL 34465 | 2013-09-23 |
| 1528319530 | Julius Peregrino Rivera | Surgery | 5264 N. Cimarron Drive, Beverly Hills, FL 34465 | 2012-10-01 |
| 1629285317 | Laurie Ann Brothers | Massage Therapist | 6 W Lemon Street, Beverly Hills, FL 34465 | 2007-05-16 |
| 1275747537 | Magdalena Cognato | Massage Therapist | 6 West Lemon Street, Beverly Hills, FL 34465 | 2007-05-09 |
| 1114147485 | Martha Murray Pullian | Massage Therapist | 6 West Lemon St, Beverly Hills, FL 34465 | 2007-04-27 |
| 1265515001 | West Florida Medical Associates P A | Clinical Medical Laboratory | 3404 C N Lecanto Hwy, Beverly Hills, FL 34465 | 2006-10-23 |
| 1710920038 | Alexander Ong Liu Jr. | Internal Medicine | 2 West Lemon Street, Beverly Hills, FL 34465 | 2006-06-14 |
| 1710942206 | Murali Mohan Angirekula | Pain Medicine | 4065 N. Lecanto Hwy, Suite 100, Beverly Hills, FL 34465 | 2006-04-19 |
| Find all providers in zip 34465 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489891 | Elite Medical Services Inc | General Practice | 463 S Robertson Blvd Ste 2, Beverly Hills, CA 90211-3633 | 2020-02-13 |
| 1821560582 | Steven C. Presser Md | General Practice | 292 S La Cienega Blvd Ste 100, Beverly Hills, CA 90211-3337 | 2018-12-19 |
| 1710425608 | Reginald Warren | General Practice | 351 N Palm Dr Apt 303, Beverly Hills, CA 90210-4121 | 2017-02-10 |
| 1619218971 | Robert Arthur Ellwood | General Practice | 20046 Ronsdale Dr, Beverly Hills, MI 48025-3856 | 2013-03-12 |
| 1114267309 | Rosalia Glosman | General Practice | 430 N Oakhurst Dr, 202, Beverly Hills, CA 90210-5742 | 2013-02-25 |
| 1639417686 | Thomas Rykoff | General Practice | 205 S Mccarty Dr, Beverly Hills, CA 90212-3701 | 2013-01-25 |
| 1356643043 | Richard Alan Ochs | General Practice | 324 S Beverly Dr # 488, Beverly Hills, CA 90212-4801 | 2010-12-01 |
| 1427363985 | Nathan D Ford | General Practice | 99 N La Cienega Blvd Ste 306, Beverly Hills, CA 90211 | 2010-08-09 |
| 1366770463 | Joseph Chersky | General Practice | 201 S. Camden Dr., Beverly Hills, CA 90212 | 2009-12-01 |
| 1548407703 | Ira Iradj Pouratian | General Practice | 325 No. Oakhurst Drive, #503, Beverly Hills, CA 90210-4149 | 2009-01-09 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 34465 |
Please comment or provide details below to improve the information on DR. ODELSA DIAZ ANDRES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.